NPI 1326456179

City of Chesapeake

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Chesapeake, VA

Practice location

Address: 1825 Rokeby Ave, Chesapeake, VA 23320-2261
Phone: (757) 282-6639
Fax: (757) 282-6814
Mailing address: 224 Great Bridge Blvd, Chesapeake, VA 23320-3904

Authorised official

Name: Joseph Scislowicz
Title: Executive Director
Phone: (757) 819-6214

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 141-01-002 (VA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1326456179
Entity type: Organization
NPI issued: 24 Jul 2014
Record last updated: 24 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.